2002-12-31_REPORT - M1982155

• Permit No: M1982155
• IBM Index Class Name: Report
• Doc Date: 12/31/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Schmidt Construction Company
M-1982-155
Fountain Pit
December 31, 2002
RECEIVED
DEC 3 1 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
El Paso
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished-to~lc ate an durng the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual reuort and annual report map to this form. Please note that an
adegrtarely labeled map that clearly delineates and includes the above elements may saffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Scott Davis
Permittee Name: Schmidt Constmction Company
Address: 2635 Delta Dr.
Colorado Springs , CO 80910
Phone Number: [phone]
_-- _.FaxNumber: ~/G(''3~~.f(~ y/$' - - --
If you have additional comments and/or information [hat should be provided to the Division, please provide it
below or attach it [o this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Of icer,Owner, or Designee
_/~-l~o~
Date
M 1PERMIT\MASTERD000MEMSN4-AF-01